Sympathetic Activity and Renal Denervation
ReD
Influences of Catheter-based Renal Denervation on Central Sympathetic Nervous System Regulation in Refractory Hypertension
1 other identifier
observational
26
1 country
1
Brief Summary
Primary hypothesis: Catheter-based renal denervation reduces central sympathetic activation in patients with refractory hypertension. Secondary hypotheses:
- 1.The magnitude of the individual depressor response after catheter-based renal denervation depends on the extent of sympathoinhibition.
- 2.Both, the reduction in arterial pressure and in central sympathetic activation are sustained over time up to 24±3 months after catheter-based renal denervation.
- 3.Catheter-based renal denervation resets the sympathetic baroreflex to lower blood pressure values.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2011
CompletedFirst Submitted
Initial submission to the registry
May 16, 2011
CompletedFirst Posted
Study publicly available on registry
May 17, 2011
CompletedMay 17, 2011
March 1, 2011
May 16, 2011
May 16, 2011
Conditions
Eligibility Criteria
Patients with refractory hypertension, in whom catheter-based renal denervation is indicated and who are scheduled for this procedure, will be recruited from the outpatient clinic.
You may qualify if:
- Refractory hypertension (as defined by the WHO: poorly controlled hypertension (\>140/90 mmHg) despite adequate doses of at least three antihypertensive drugs including a diuretic)
- Men or women aged \>18 years
- Intact peroneal nerve
- Written informed consent
You may not qualify if:
- Diseases, dysfunctions, or medications (such as NET inhibitors) that exclude a participation in the study according to the investigator.
- Legal incompetence or circumstances that interfere with the patient´s ability to fully understand scope, relevance, and/or consequences of participation in this study.
- People in custody
- hypersensitivity to clonidine, phenylephrine, or nitroprusside-sodium
- sick sinus syndrome, second or third degree AV block, bradycardia \< 50 bpm (contraindication for clonidine)
- endogenous depression (contraindication for clonidine)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hannover Medical School
Hanover, Germany
Related Publications (1)
Brinkmann J, Heusser K, Schmidt BM, Menne J, Klein G, Bauersachs J, Haller H, Sweep FC, Diedrich A, Jordan J, Tank J. Catheter-based renal nerve ablation and centrally generated sympathetic activity in difficult-to-control hypertensive patients: prospective case series. Hypertension. 2012 Dec;60(6):1485-90. doi: 10.1161/HYPERTENSIONAHA.112.201186. Epub 2012 Oct 8.
PMID: 23045466DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
May 16, 2011
First Posted
May 17, 2011
Study Start
March 1, 2011
Last Updated
May 17, 2011
Record last verified: 2011-03